Trends and Outcomes of Ischemic Stroke after Transcatheter Aortic Valve Implantation, A US National Propensity Matched Analysis.

Autor: Zahid S; Sands Constellation Heart Institute, Rochester General Hospital, Rochester, NY. Electronic address: salmannazar1312@gmail.com., Ullah W; Department of Cardiology, Jefferson University Hospitals, PA., Khan MZ; Division of Cardiovascular Medicine, West Virginia University Heart & Vascular Institute, Morgantown, WV., Rai D; Sands Constellation Heart Institute, Rochester General Hospital, Rochester, NY., Bandyopadhyay D; Department of Cardiology, Westchester Medical Center at New York Medical College, NY., Din MTU; Department of Internal Medicine, Allegheny Health Network, Pittsburgh, PA., Abbas S; Dow Medical College, Karachi, Pakistan., Ubaid A; Internal Medicine, University of Missouri- Kansas City, Kansas City, MO., Thakkar S; Sands Constellation Heart Institute, Rochester General Hospital, Rochester, NY., Chowdhury M; Sands Constellation Heart Institute, Rochester General Hospital, Rochester, NY., Khan MU; Division of Cardiovascular Medicine, West Virginia University Heart & Vascular Institute, Morgantown, WV., Baibhav B; Sands Constellation Heart Institute, Rochester General Hospital, Rochester, NY., Roa M; Sands Constellation Heart Institute, Rochester General Hospital, Rochester, NY., Depta JP; Sands Constellation Heart Institute, Rochester General Hospital, Rochester, NY., Alam M; Baylor College of Medicine, Houston, TX., Alraies C; Detroit Medical Center, Detroit, MI., Balla S; Division of Cardiovascular Medicine, West Virginia University Heart & Vascular Institute, Morgantown, WV.
Jazyk: angličtina
Zdroj: Current problems in cardiology [Curr Probl Cardiol] 2022 Oct; Vol. 47 (10), pp. 100961. Date of Electronic Publication: 2021 Aug 13.
DOI: 10.1016/j.cpcardiol.2021.100961
Abstrakt: Contemporary data on stroke predictors and outcomes in patients undergoing transcatheter aortic valve implantation (TAVI) remains limited. We analyzed National Inpatient Sample data from the year 2011 to 2018. A total of 215,938 patients underwent TAVI. Of the patients who underwent TAVI, 4579 (2.2%) suffered from stroke and 211359 (97.8%) did not have a stroke. Adjusted mortality was higher in patients who had a stroke (10.9%) as compared to patients who did not have a stroke (3.1%). Lower percentage of patients were discharged home who developed a stroke compared to patients without a stroke (10.2% vs 52.3%). Multivariate logistic regression analysis showed that at baseline, age, female sex, atrial fibrillation, chronic kidney disease and peripheral vascular disease were significant predictors of stroke. Median Cost of care ($63367 vs $48070) and length of stay (8 vs 4 days) were considerably higher for patients with stroke when compared to the comparison group (P < 0.01 for all). In conclusion we report that stroke is associated with increased mortality, morbidity, and resource utilization in patients undergoing TAVI. Baseline characteristics like age, gender, atrial fibrillation, chronic kidney disease and peripheral vascular disease are significant predictors of this adverse event.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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